- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,403.52 / $14,641.70 / $23,574.90
| Facility | | $6,403.52 | $14,641.70 | $23,574.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $6,242.69 / $19,636.39
| Facility | | $1,474.01 | $6,242.69 | $19,636.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,598.68 / $15,308.81 / $21,686.76
| Facility | | $10,598.68 | $15,308.81 | $21,686.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,264.41 / $12,839.92 / $26,965.41
| Facility | | $9,264.41 | $12,839.92 | $26,965.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,698.32 / $12,839.92 / $27,313.59
| Facility | | $8,698.32 | $12,839.92 | $27,313.59 |